Regarding Critical Care of the Burn Patient: The First 48 Hours

Abstract

Letter to the Editor: We read with much interest the recent review by Dr. Latenser on the care of burn patients in the first 48 hrs (1). Although the review was well-written, concise, and informative, we believe two assertions deserve clarification. First, Dr. Latenser states that the Parkland formula has been renamed the Consensus formula. This is incorrect. It was first used by the authors of the Advanced Burn Life Support course, in which fluid requirements of burn patients during the first 24 hrs after burn were estimated as 2 to 4 mL/kg per percentage total body surface area burn (2). This represents a compromise between physicians who advocated for the Parkland formula (which estimates 4 mL/kg per percentage burn) and those who advocated for the modified Brooke formula (which estimates 2 mL/kg per percentage burn). Although the Parkland formula is most commonly used in US burn centers, there is no consensus regarding which of the two formulas is superior.

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Document Details

Document Type
Technical Report
Publication Date
Jan 01, 2010
Accession Number
ADA629410

Entities

People

  • Evan M. Renz
  • Kevin Chung
  • Leopoldo C. Cancio

Organizations

  • United States Army Institute of Surgical Research

Tags

DTIC Thesaurus Topics

  • Arteries
  • Burns
  • Cardiovascular Physiological Phenomena
  • Cardiovascular Surgery
  • Health Services
  • Hemorrhagic Shock
  • Medical Personnel
  • Patient Care
  • Peripheral Nervous System
  • Therapy

Fields of Study

  • Medicine

Readers

  • Statistical inference.
  • Strategic Security Studies
  • Trauma Surgery or Emergency Medicine.